Abstract
The case of a seventies-years-old woman with malignant gastric lymphoma who developed recurrence 1 year after partial curative resection is described. The patient first presented to our hospital in April 2006 with cervical lymphadenopathy, and lymph node biopsy revealed the diagnosis of follicular lymphoma. PET examination showed accentuated accumulation at multiple sites of the body, therefore, the patient was started on systemic chemotherapy with rituximab, which yielded "complete response". The patient then presented to our hospital again in June 2007 with hematemesis. Partial resection of the stomach was performed, considering the poor general condition of the patient. The patient was discharged 14 days after the surgery. The pathological diagnosis was diffuse B-cell lymphoma of the stomach, however, no additional chemotherapy was administered. Subsequently, the patient was again admitted in June 2008 with melena of sudden onset. Gastrointestinal endoscopy revealed an ulcerative tumor in the lesser curvature of the stomach, below the cardia. Therefore, we performed total gastrectomy with D2 lymph node dissection in July 2008. Pathological examination of the resected tumor revealed the same findings as those in the previous year. The patient then developed widespread recurrence of malignant lymphoma throughout the body and died in September 2008.
